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Publisher: Elsevier   (Total: 3049 journals)

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Showing 1 - 200 of 3089 Journals sorted alphabetically
A Practical Logic of Cognitive Systems     Full-text available via subscription   (Followers: 7)
AASRI Procedia     Open Access   (Followers: 15)
Academic Pediatrics     Hybrid Journal   (Followers: 25, SJR: 1.402, h-index: 51)
Academic Radiology     Hybrid Journal   (Followers: 22, SJR: 1.008, h-index: 75)
Accident Analysis & Prevention     Partially Free   (Followers: 86, SJR: 1.109, h-index: 94)
Accounting Forum     Hybrid Journal   (Followers: 25, SJR: 0.612, h-index: 27)
Accounting, Organizations and Society     Hybrid Journal   (Followers: 30, SJR: 2.515, h-index: 90)
Achievements in the Life Sciences     Open Access   (Followers: 4)
Acta Anaesthesiologica Taiwanica     Open Access   (Followers: 5, SJR: 0.338, h-index: 19)
Acta Astronautica     Hybrid Journal   (Followers: 363, SJR: 0.726, h-index: 43)
Acta Automatica Sinica     Full-text available via subscription   (Followers: 3)
Acta Biomaterialia     Hybrid Journal   (Followers: 25, SJR: 2.02, h-index: 104)
Acta Colombiana de Cuidado Intensivo     Full-text available via subscription   (Followers: 1)
Acta de Investigación Psicológica     Open Access   (Followers: 2)
Acta Ecologica Sinica     Open Access   (Followers: 8, SJR: 0.172, h-index: 29)
Acta Haematologica Polonica     Free   (SJR: 0.123, h-index: 8)
Acta Histochemica     Hybrid Journal   (Followers: 3, SJR: 0.604, h-index: 38)
Acta Materialia     Hybrid Journal   (Followers: 229, SJR: 3.683, h-index: 202)
Acta Mathematica Scientia     Full-text available via subscription   (Followers: 5, SJR: 0.615, h-index: 21)
Acta Mechanica Solida Sinica     Full-text available via subscription   (Followers: 9, SJR: 0.442, h-index: 21)
Acta Oecologica     Hybrid Journal   (Followers: 10, SJR: 0.915, h-index: 53)
Acta Otorrinolaringologica (English Edition)     Full-text available via subscription   (Followers: 1)
Acta Otorrinolaringológica Española     Full-text available via subscription   (Followers: 3, SJR: 0.311, h-index: 16)
Acta Pharmaceutica Sinica B     Open Access   (Followers: 1)
Acta Poética     Open Access   (Followers: 4)
Acta Psychologica     Hybrid Journal   (Followers: 24, SJR: 1.365, h-index: 73)
Acta Sociológica     Open Access  
Acta Tropica     Hybrid Journal   (Followers: 6, SJR: 1.059, h-index: 77)
Acta Urológica Portuguesa     Open Access  
Actas Dermo-Sifiliograficas     Full-text available via subscription   (Followers: 4)
Actas Dermo-Sifiliográficas (English Edition)     Full-text available via subscription   (Followers: 3)
Actas Urológicas Españolas     Full-text available via subscription   (Followers: 4, SJR: 0.383, h-index: 19)
Actas Urológicas Españolas (English Edition)     Full-text available via subscription   (Followers: 2)
Actualites Pharmaceutiques     Full-text available via subscription   (Followers: 5, SJR: 0.141, h-index: 3)
Actualites Pharmaceutiques Hospitalieres     Full-text available via subscription   (Followers: 4, SJR: 0.112, h-index: 2)
Acupuncture and Related Therapies     Hybrid Journal   (Followers: 4)
Acute Pain     Full-text available via subscription   (Followers: 13)
Ad Hoc Networks     Hybrid Journal   (Followers: 11, SJR: 0.967, h-index: 57)
Addictive Behaviors     Hybrid Journal   (Followers: 15, SJR: 1.514, h-index: 92)
Addictive Behaviors Reports     Open Access   (Followers: 6)
Additive Manufacturing     Hybrid Journal   (Followers: 7, SJR: 1.039, h-index: 5)
Additives for Polymers     Full-text available via subscription   (Followers: 21)
Advanced Cement Based Materials     Full-text available via subscription   (Followers: 3)
Advanced Drug Delivery Reviews     Hybrid Journal   (Followers: 133, SJR: 5.2, h-index: 222)
Advanced Engineering Informatics     Hybrid Journal   (Followers: 11, SJR: 1.265, h-index: 53)
Advanced Powder Technology     Hybrid Journal   (Followers: 17, SJR: 0.739, h-index: 33)
Advances in Accounting     Hybrid Journal   (Followers: 9, SJR: 0.299, h-index: 15)
Advances in Agronomy     Full-text available via subscription   (Followers: 15, SJR: 2.071, h-index: 82)
Advances in Anesthesia     Full-text available via subscription   (Followers: 26, SJR: 0.169, h-index: 4)
Advances in Antiviral Drug Design     Full-text available via subscription   (Followers: 3)
Advances in Applied Mathematics     Full-text available via subscription   (Followers: 6, SJR: 1.054, h-index: 35)
Advances in Applied Mechanics     Full-text available via subscription   (Followers: 11, SJR: 0.801, h-index: 26)
Advances in Applied Microbiology     Full-text available via subscription   (Followers: 22, SJR: 1.286, h-index: 49)
Advances In Atomic, Molecular, and Optical Physics     Full-text available via subscription   (Followers: 16, SJR: 3.31, h-index: 42)
Advances in Biological Regulation     Hybrid Journal   (Followers: 4, SJR: 2.277, h-index: 43)
Advances in Botanical Research     Full-text available via subscription   (Followers: 3, SJR: 0.619, h-index: 48)
Advances in Cancer Research     Full-text available via subscription   (Followers: 25, SJR: 2.215, h-index: 78)
Advances in Carbohydrate Chemistry and Biochemistry     Full-text available via subscription   (Followers: 9, SJR: 0.9, h-index: 30)
Advances in Catalysis     Full-text available via subscription   (Followers: 5, SJR: 2.139, h-index: 42)
Advances in Cell Aging and Gerontology     Full-text available via subscription   (Followers: 4)
Advances in Cellular and Molecular Biology of Membranes and Organelles     Full-text available via subscription   (Followers: 12)
Advances in Chemical Engineering     Full-text available via subscription   (Followers: 27, SJR: 0.183, h-index: 23)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 10, SJR: 0.665, h-index: 29)
Advances in Chronic Kidney Disease     Full-text available via subscription   (Followers: 9, SJR: 1.268, h-index: 45)
Advances in Clinical Chemistry     Full-text available via subscription   (Followers: 29, SJR: 0.938, h-index: 33)
Advances in Colloid and Interface Science     Full-text available via subscription   (Followers: 18, SJR: 2.314, h-index: 130)
Advances in Computers     Full-text available via subscription   (Followers: 16, SJR: 0.223, h-index: 22)
Advances in Dermatology     Full-text available via subscription   (Followers: 12)
Advances in Developmental Biology     Full-text available via subscription   (Followers: 11)
Advances in Digestive Medicine     Open Access   (Followers: 7)
Advances in DNA Sequence-Specific Agents     Full-text available via subscription   (Followers: 5)
Advances in Drug Research     Full-text available via subscription   (Followers: 22)
Advances in Ecological Research     Full-text available via subscription   (Followers: 45, SJR: 3.25, h-index: 43)
Advances in Engineering Software     Hybrid Journal   (Followers: 26, SJR: 0.486, h-index: 10)
Advances in Experimental Biology     Full-text available via subscription   (Followers: 7)
Advances in Experimental Social Psychology     Full-text available via subscription   (Followers: 43, SJR: 5.465, h-index: 64)
Advances in Exploration Geophysics     Full-text available via subscription   (Followers: 3)
Advances in Fluorine Science     Full-text available via subscription   (Followers: 8)
Advances in Food and Nutrition Research     Full-text available via subscription   (Followers: 51, SJR: 0.674, h-index: 38)
Advances in Fuel Cells     Full-text available via subscription   (Followers: 16)
Advances in Genetics     Full-text available via subscription   (Followers: 15, SJR: 2.558, h-index: 54)
Advances in Genome Biology     Full-text available via subscription   (Followers: 11)
Advances in Geophysics     Full-text available via subscription   (Followers: 6, SJR: 2.325, h-index: 20)
Advances in Heat Transfer     Full-text available via subscription   (Followers: 22, SJR: 0.906, h-index: 24)
Advances in Heterocyclic Chemistry     Full-text available via subscription   (Followers: 9, SJR: 0.497, h-index: 31)
Advances in Human Factors/Ergonomics     Full-text available via subscription   (Followers: 26)
Advances in Imaging and Electron Physics     Full-text available via subscription   (Followers: 2, SJR: 0.396, h-index: 27)
Advances in Immunology     Full-text available via subscription   (Followers: 36, SJR: 4.152, h-index: 85)
Advances in Inorganic Chemistry     Full-text available via subscription   (Followers: 9, SJR: 1.132, h-index: 42)
Advances in Insect Physiology     Full-text available via subscription   (Followers: 3, SJR: 1.274, h-index: 27)
Advances in Integrative Medicine     Hybrid Journal   (Followers: 6)
Advances in Intl. Accounting     Full-text available via subscription   (Followers: 4)
Advances in Life Course Research     Hybrid Journal   (Followers: 8, SJR: 0.764, h-index: 15)
Advances in Lipobiology     Full-text available via subscription   (Followers: 2)
Advances in Magnetic and Optical Resonance     Full-text available via subscription   (Followers: 9)
Advances in Marine Biology     Full-text available via subscription   (Followers: 16, SJR: 1.645, h-index: 45)
Advances in Mathematics     Full-text available via subscription   (Followers: 10, SJR: 3.261, h-index: 65)
Advances in Medical Sciences     Hybrid Journal   (Followers: 6, SJR: 0.489, h-index: 25)
Advances in Medicinal Chemistry     Full-text available via subscription   (Followers: 5)
Advances in Microbial Physiology     Full-text available via subscription   (Followers: 4, SJR: 1.44, h-index: 51)
Advances in Molecular and Cell Biology     Full-text available via subscription   (Followers: 22)
Advances in Molecular and Cellular Endocrinology     Full-text available via subscription   (Followers: 10)
Advances in Molecular Toxicology     Full-text available via subscription   (Followers: 8, SJR: 0.324, h-index: 8)
Advances in Nanoporous Materials     Full-text available via subscription   (Followers: 4)
Advances in Oncobiology     Full-text available via subscription   (Followers: 3)
Advances in Organ Biology     Full-text available via subscription   (Followers: 2)
Advances in Organometallic Chemistry     Full-text available via subscription   (Followers: 15, SJR: 2.885, h-index: 45)
Advances in Parallel Computing     Full-text available via subscription   (Followers: 7, SJR: 0.148, h-index: 11)
Advances in Parasitology     Full-text available via subscription   (Followers: 7, SJR: 2.37, h-index: 73)
Advances in Pediatrics     Full-text available via subscription   (Followers: 24, SJR: 0.4, h-index: 28)
Advances in Pharmaceutical Sciences     Full-text available via subscription   (Followers: 13)
Advances in Pharmacology     Full-text available via subscription   (Followers: 15, SJR: 1.718, h-index: 58)
Advances in Physical Organic Chemistry     Full-text available via subscription   (Followers: 8, SJR: 0.384, h-index: 26)
Advances in Phytomedicine     Full-text available via subscription  
Advances in Planar Lipid Bilayers and Liposomes     Full-text available via subscription   (Followers: 3, SJR: 0.248, h-index: 11)
Advances in Plant Biochemistry and Molecular Biology     Full-text available via subscription   (Followers: 8)
Advances in Plant Pathology     Full-text available via subscription   (Followers: 5)
Advances in Porous Media     Full-text available via subscription   (Followers: 4)
Advances in Protein Chemistry     Full-text available via subscription   (Followers: 17)
Advances in Protein Chemistry and Structural Biology     Full-text available via subscription   (Followers: 20, SJR: 1.5, h-index: 62)
Advances in Psychology     Full-text available via subscription   (Followers: 62)
Advances in Quantum Chemistry     Full-text available via subscription   (Followers: 5, SJR: 0.478, h-index: 32)
Advances in Radiation Oncology     Open Access  
Advances in Small Animal Medicine and Surgery     Hybrid Journal   (Followers: 2, SJR: 0.1, h-index: 2)
Advances in Space Biology and Medicine     Full-text available via subscription   (Followers: 5)
Advances in Space Research     Full-text available via subscription   (Followers: 361, SJR: 0.606, h-index: 65)
Advances in Structural Biology     Full-text available via subscription   (Followers: 8)
Advances in Surgery     Full-text available via subscription   (Followers: 7, SJR: 0.823, h-index: 27)
Advances in the Study of Behavior     Full-text available via subscription   (Followers: 30, SJR: 1.321, h-index: 56)
Advances in Veterinary Medicine     Full-text available via subscription   (Followers: 16)
Advances in Veterinary Science and Comparative Medicine     Full-text available via subscription   (Followers: 13)
Advances in Virus Research     Full-text available via subscription   (Followers: 5, SJR: 1.878, h-index: 68)
Advances in Water Resources     Hybrid Journal   (Followers: 44, SJR: 2.408, h-index: 94)
Aeolian Research     Hybrid Journal   (Followers: 5, SJR: 0.973, h-index: 22)
Aerospace Science and Technology     Hybrid Journal   (Followers: 331, SJR: 0.816, h-index: 49)
AEU - Intl. J. of Electronics and Communications     Hybrid Journal   (Followers: 8, SJR: 0.318, h-index: 36)
African J. of Emergency Medicine     Open Access   (Followers: 5, SJR: 0.344, h-index: 6)
Ageing Research Reviews     Hybrid Journal   (Followers: 8, SJR: 3.289, h-index: 78)
Aggression and Violent Behavior     Hybrid Journal   (Followers: 417, SJR: 1.385, h-index: 72)
Agri Gene     Hybrid Journal  
Agricultural and Forest Meteorology     Hybrid Journal   (Followers: 16, SJR: 2.18, h-index: 116)
Agricultural Systems     Hybrid Journal   (Followers: 30, SJR: 1.275, h-index: 74)
Agricultural Water Management     Hybrid Journal   (Followers: 40, SJR: 1.546, h-index: 79)
Agriculture and Agricultural Science Procedia     Open Access  
Agriculture and Natural Resources     Open Access   (Followers: 2)
Agriculture, Ecosystems & Environment     Hybrid Journal   (Followers: 55, SJR: 1.879, h-index: 120)
Ain Shams Engineering J.     Open Access   (Followers: 5, SJR: 0.434, h-index: 14)
Air Medical J.     Hybrid Journal   (Followers: 5, SJR: 0.234, h-index: 18)
AKCE Intl. J. of Graphs and Combinatorics     Open Access   (SJR: 0.285, h-index: 3)
Alcohol     Hybrid Journal   (Followers: 11, SJR: 0.922, h-index: 66)
Alcoholism and Drug Addiction     Open Access   (Followers: 8)
Alergologia Polska : Polish J. of Allergology     Full-text available via subscription   (Followers: 1)
Alexandria Engineering J.     Open Access   (Followers: 1, SJR: 0.436, h-index: 12)
Alexandria J. of Medicine     Open Access   (Followers: 1)
Algal Research     Partially Free   (Followers: 8, SJR: 2.05, h-index: 20)
Alkaloids: Chemical and Biological Perspectives     Full-text available via subscription   (Followers: 3)
Allergologia et Immunopathologia     Full-text available via subscription   (Followers: 1, SJR: 0.46, h-index: 29)
Allergology Intl.     Open Access   (Followers: 4, SJR: 0.776, h-index: 35)
Alpha Omegan     Full-text available via subscription   (SJR: 0.121, h-index: 9)
ALTER - European J. of Disability Research / Revue Européenne de Recherche sur le Handicap     Full-text available via subscription   (Followers: 9, SJR: 0.158, h-index: 9)
Alzheimer's & Dementia     Hybrid Journal   (Followers: 46, SJR: 4.289, h-index: 64)
Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring     Open Access   (Followers: 4)
Alzheimer's & Dementia: Translational Research & Clinical Interventions     Open Access   (Followers: 4)
Ambulatory Pediatrics     Hybrid Journal   (Followers: 5)
American Heart J.     Hybrid Journal   (Followers: 49, SJR: 3.157, h-index: 153)
American J. of Cardiology     Hybrid Journal   (Followers: 48, SJR: 2.063, h-index: 186)
American J. of Emergency Medicine     Hybrid Journal   (Followers: 40, SJR: 0.574, h-index: 65)
American J. of Geriatric Pharmacotherapy     Full-text available via subscription   (Followers: 9, SJR: 1.091, h-index: 45)
American J. of Geriatric Psychiatry     Hybrid Journal   (Followers: 14, SJR: 1.653, h-index: 93)
American J. of Human Genetics     Hybrid Journal   (Followers: 32, SJR: 8.769, h-index: 256)
American J. of Infection Control     Hybrid Journal   (Followers: 26, SJR: 1.259, h-index: 81)
American J. of Kidney Diseases     Hybrid Journal   (Followers: 32, SJR: 2.313, h-index: 172)
American J. of Medicine     Hybrid Journal   (Followers: 46, SJR: 2.023, h-index: 189)
American J. of Medicine Supplements     Full-text available via subscription   (Followers: 3)
American J. of Obstetrics and Gynecology     Hybrid Journal   (Followers: 199, SJR: 2.255, h-index: 171)
American J. of Ophthalmology     Hybrid Journal   (Followers: 59, SJR: 2.803, h-index: 148)
American J. of Ophthalmology Case Reports     Open Access   (Followers: 6)
American J. of Orthodontics and Dentofacial Orthopedics     Full-text available via subscription   (Followers: 6, SJR: 1.249, h-index: 88)
American J. of Otolaryngology     Hybrid Journal   (Followers: 25, SJR: 0.59, h-index: 45)
American J. of Pathology     Hybrid Journal   (Followers: 27, SJR: 2.653, h-index: 228)
American J. of Preventive Medicine     Hybrid Journal   (Followers: 25, SJR: 2.764, h-index: 154)
American J. of Surgery     Hybrid Journal   (Followers: 35, SJR: 1.286, h-index: 125)
American J. of the Medical Sciences     Hybrid Journal   (Followers: 12, SJR: 0.653, h-index: 70)
Ampersand : An Intl. J. of General and Applied Linguistics     Open Access   (Followers: 6)
Anaerobe     Hybrid Journal   (Followers: 4, SJR: 1.066, h-index: 51)
Anaesthesia & Intensive Care Medicine     Full-text available via subscription   (Followers: 58, SJR: 0.124, h-index: 9)
Anaesthesia Critical Care & Pain Medicine     Full-text available via subscription   (Followers: 12)
Anales de Cirugia Vascular     Full-text available via subscription  
Anales de Pediatría     Full-text available via subscription   (Followers: 2, SJR: 0.209, h-index: 27)
Anales de Pediatría (English Edition)     Full-text available via subscription  
Anales de Pediatría Continuada     Full-text available via subscription   (SJR: 0.104, h-index: 3)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 4, SJR: 2.577, h-index: 7)
Analytica Chimica Acta     Hybrid Journal   (Followers: 37, SJR: 1.548, h-index: 152)
Analytical Biochemistry     Hybrid Journal   (Followers: 167, SJR: 0.725, h-index: 154)
Analytical Chemistry Research     Open Access   (Followers: 8, SJR: 0.18, h-index: 2)
Analytical Spectroscopy Library     Full-text available via subscription   (Followers: 12)
Anesthésie & Réanimation     Full-text available via subscription   (Followers: 1)
Anesthesiology Clinics     Full-text available via subscription   (Followers: 22, SJR: 0.421, h-index: 40)
Angiología     Full-text available via subscription   (SJR: 0.124, h-index: 9)
Angiologia e Cirurgia Vascular     Open Access  

        1 2 3 4 5 6 7 8 | Last   [Sort by number of followers]   [Restore default list]

Journal Cover American Journal of Medicine
  [SJR: 2.023]   [H-I: 189]   [46 followers]  Follow
    
   Hybrid Journal Hybrid journal (It can contain Open Access articles)
   ISSN (Print) 0002-9343 - ISSN (Online) 1555-7162
   Published by Elsevier Homepage  [3049 journals]
  • A Rose by Any Other Name: Ketoacidosis Due to SGLT2 Inhibitors Reveals
           Latent Autoimmune Diabetes
    • Authors: Thomas Nodzynski; Todd C. Lee
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Thomas Nodzynski, Todd C. Lee


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.09.014
       
  • The Many Shades of Dyspnea
    • Authors: Ebrahim Barkoudah; Christopher L. Roy
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Ebrahim Barkoudah, Christopher L. Roy


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.08.031
       
  • Gunshot to the Head
    • Authors: Sheharyar Raza; Donald A. Redelmeier
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Sheharyar Raza, Donald A. Redelmeier


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.07.026
       
  • Acute Myocarditis Due to Mushroom Ingestion
    • Authors: Natalia G. Vallianou; Adamantios Raptis; Marina Sikara; Alexandros Skourtis; Evangelos Kokkinakis
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Natalia G. Vallianou, Adamantios Raptis, Marina Sikara, Alexandros Skourtis, Evangelos Kokkinakis


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.08.012
       
  • Prurigo Pigmentosa
    • Authors: Daisuke Yamada; Tatsuya Fujikawa
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Daisuke Yamada, Tatsuya Fujikawa


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.08.043
       
  • Acute Colitis in a Patient with Streptococcus pyogenes Bacteremia
    • Authors: Bharat Maraj; Annsa Huang; Sajan Patel
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Bharat Maraj, Annsa Huang, Sajan Patel


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.09.022
       
  • Cerebellar Hemangioblastoma
    • Authors: Ami Schattner; Emanuela Cagnano; Ina Dubin
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Ami Schattner, Emanuela Cagnano, Ina Dubin


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.07.027
       
  • An Unsuspected Zoonotic Infection Presenting as Sepsis
    • Authors: Rachel Epstein; Jessica Ristau; Jerrold J. Ellner
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Rachel Epstein, Jessica Ristau, Jerrold J. Ellner


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.07.040
       
  • The Great Imitator: Visual Changes in a 37-Year-Old Man with HIV
    • Authors: Chloé A. Powell; Alexander R. Carbo
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Chloé A. Powell, Alexander R. Carbo


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.06.043
       
  • Implications of Anomalous Left Coronary Artery Origin
    • Authors: Brian B. Agbor-Etang; Van T. La; Sami B. Nazzal; Ramdas G. Pai
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Brian B. Agbor-Etang, Van T. La, Sami B. Nazzal, Ramdas G. Pai


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.09.038
       
  • Delayed Diagnosis of Cast Nephropathy
    • Authors: Chihiro Kamijo; Yukinori Harada
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Chihiro Kamijo, Yukinori Harada


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.07.031
       
  • An Elderly Physician's Plea
    • Authors: Steven W. Luger
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Steven W. Luger


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.06.036
       
  • Does Digital Rectal Examination Reduce Subsequent Hospitalizations and
           Endoscopies or Vice Versa'
    • Authors: Michael R. Bubb
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Michael R. Bubb


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.08.006
       
  • Does Digital Rectal Examination Predict Hospital Admission and Resource
           Utilization Rate in Patients with Acute Gastrointestinal Bleeding with
           Bright Red Blood Per Rectum'
    • Authors: Paris Charilaou; Andrew Korman; Capecomorin S. Pitchumoni; Arkady Broder
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Paris Charilaou, Andrew Korman, Capecomorin S. Pitchumoni, Arkady Broder


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.08.008
       
  • Will Physicians Stop Performing Physical Examinations'
    • Authors: James E. Dalen
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): James E. Dalen


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.08.009
       
  • Physicians Should Always Perform a Physical Examination
    • Authors: Aijaz Yazdani
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Aijaz Yazdani


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.09.016
       
  • The Seven Ages of the Physician
    • Authors: Joseph S. Alpert
      First page: 1
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Joseph S. Alpert


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.10.002
       
  • The 2017 Match and the Future US Workforce
    • Authors: James E. Dalen; Kenneth J. Ryan; Joseph S. Alpert
      Pages: 2 - 4
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): James E. Dalen, Kenneth J. Ryan, Joseph S. Alpert


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.08.014
       
  • A Service Commitment to Fund Your Medical Education
    • Authors: Robert M. Doroghazi; Samuel W. Bergin
      Pages: 5 - 6
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Robert M. Doroghazi, Samuel W. Bergin


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.08.013
       
  • Antidepressants and Hyponatremia
    • Authors: Yeong-Hau H. Lien
      Pages: 7 - 8
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Yeong-Hau H. Lien


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.09.002
       
  • Radiologic Pearls for Internists: A Case-Based Review
    • Authors: Melissa J. McGettigan; Robert A. Gatenby
      Pages: 9 - 16
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Melissa J. McGettigan, Robert A. Gatenby
      Modern technologic advances in medical imaging and the increasing use of imaging across all disciplines in medicine have led to a striking rise in incidental findings unrelated to the original study indication. Often, these findings have no clinical relevance and will not impact the current or future health status of the patient. It is incumbent on radiologists to report these findings in a definitive and unambiguous manner. Similarly, it is essential for clinicians to restrain from further diagnostic investigation of incidental findings that are conclusive by imaging. A classic and common example is the finding of a cyst. This article presents several cases of incidentally found cysts for which a confident diagnosis can be made without any need for follow-up.

      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.08.022
       
  • Infections of the Nervous System
    • Authors: Seth N. Levin; Jennifer L. Lyons
      Pages: 25 - 32
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Seth N. Levin, Jennifer L. Lyons
      Microorganisms can affect the entire neuraxis, producing a variety of neurologic complications that frequently entail prolonged hospitalizations and complicated treatment regimens. The spread of pathogens to new regions and the reemergence of opportunistic organisms in immunocompromised patients pose increasing challenges to health care professionals. Because rapid diagnosis and treatment may prevent long-term neurologic sequelae, providers should approach these diseases with a structured, neuroanatomic framework, incorporating a thorough history, examination, laboratory analysis, and neuroimaging in their clinical reasoning and decision-making.

      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.08.020
       
  • A Masked Marauder: Hepatitis C Neuropathy
    • Authors: Kourosh Rezania; Peter Pytel; Lena Derani; Reeti Greenwald; Raymond P. Roos
      Pages: 33 - 36
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Kourosh Rezania, Peter Pytel, Lena Derani, Reeti Greenwald, Raymond P. Roos


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.08.015
       
  • No Neck Pain: Meningococcemia
    • Authors: Halima Cheddani; Anne-Laure Desgabriel; Elise Coffin; Muhamid-Kheir Taha; Charlotte Verdet; Claude Bachmeyer; Jean-François Flejou; Xavier Amiot
      Pages: 37 - 40
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Halima Cheddani, Anne-Laure Desgabriel, Elise Coffin, Muhamid-Kheir Taha, Charlotte Verdet, Claude Bachmeyer, Jean-François Flejou, Xavier Amiot


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.08.002
       
  • Where Did It Start' Subcutaneous Metastatic Melanoma
    • Authors: Silvia Spoto; Anna Crescenzi; Chiara Taffon; Massimo Ciccozzi; Sebastiano Costantino; Silvia Angeletti
      Pages: 41 - 44
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Silvia Spoto, Anna Crescenzi, Chiara Taffon, Massimo Ciccozzi, Sebastiano Costantino, Silvia Angeletti


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.09.011
       
  • Big Gain, No Pain: Tumoral Calcinosis
    • Authors: Li-An Lai; Ming-Yen Hsiao; Chueh-Hung Wu; Tyng-Guey Wang; Levent Özçakar
      Pages: 45 - 47
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Li-An Lai, Ming-Yen Hsiao, Chueh-Hung Wu, Tyng-Guey Wang, Levent Özçakar


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.09.003
       
  • Dietary Patterns and Long-Term Survival: A Retrospective Study of Healthy
           Primary Care Patients
    • Authors: Nilay S. Shah; David Leonard; Carrie E. Finley; Fatima Rodriguez; Ashish Sarraju; Carolyn E. Barlow; Laura F. DeFina; Benjamin L. Willis; William L. Haskell; David J. Maron
      Pages: 48 - 55
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Nilay S. Shah, David Leonard, Carrie E. Finley, Fatima Rodriguez, Ashish Sarraju, Carolyn E. Barlow, Laura F. DeFina, Benjamin L. Willis, William L. Haskell, David J. Maron
      Background Dietary patterns are related to mortality in selected populations with comorbidities. We studied whether dietary patterns are associated with long-term survival in a middle-aged, healthy population. Methods In this observational cohort study at the Cooper Clinic preventive medicine center (Dallas, Tex), a volunteer sample of 11,376 men and women with no history of myocardial infarction or stroke completed a baseline dietary assessment between 1987 and 1999 and were observed for an average of 18 years. Proportional hazard regressions, including a tree-augmented model, were used to assess the association of the Dietary Approaches to Stop Hypertension (DASH) dietary pattern, Mediterranean dietary pattern, and individual dietary components with mortality. The primary outcome was all-cause mortality. The secondary outcome was cardiovascular mortality. Results Mean baseline age was 47 years. Each quintile increase in the DASH diet score was associated with a 6% lower adjusted risk for all-cause mortality (P < .02). The Mediterranean diet was not independently associated with all-cause or cardiovascular mortality. Solid fats and added sugars were the most predictive of mortality. Individuals who consumed >34% of their daily calories as solid fats had the highest risk for all-cause mortality. Conclusions The DASH dietary pattern was associated with significantly lower all-cause mortality over approximately 2 decades of follow-up in a middle-aged, generally healthy population. Added solid fat and added sugar intake were the most predictive of all-cause mortality. These results suggest that promotion of a healthy dietary pattern should begin in middle age, before the development of comorbid risk factors.

      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.08.010
       
  • Differences in Associations of Antidepressants and Hospitalization Due to
           Hyponatremia
    • Authors: Shermineh Farmand; Jonatan D. Lindh; Jan Calissendorff; Jakob Skov; Henrik Falhammar; David Nathanson; Buster Mannheimer
      Pages: 56 - 63
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Shermineh Farmand, Jonatan D. Lindh, Jan Calissendorff, Jakob Skov, Henrik Falhammar, David Nathanson, Buster Mannheimer
      Background Selective serotonin reuptake inhibitors (SSRIs) and other antidepressants are important as a cause of hyponatremia. However, most studies have focused on the effect on sodium levels regardless of clinical symptoms, or have been too small to be able to discriminate between the effects of specific antidepressant drugs. The objective of the present study was to investigate the association between different groups of antidepressants and the risk of hospitalization due to hyponatremia. Methods In this register-based case-control study of patients in the general Swedish population, we identified 14,359 individuals with a main diagnosis of hyponatremia. For every case, 4 matched controls were included (n = 57,382). To investigate the temporal aspects of drug-induced hyponatremia, antidepressant exposure was divided into patients with newly initiated and ongoing treatment. Univariable and multivariable logistic regression was used to analyze the association of antidepressant use and hospitalization. Results For newly initiated antidepressants, adjusted odds ratios (95% confidence interval) for a main diagnosis of hyponatremia compared with controls were: citalopram 5.50 (4.71-6.44); sertraline 4.96 (3.81-6.48); venlafaxine 5.28 (3.20-8.83); tricyclic antidepressants 1.59 (1.13-2.24); and mirtazapine 2.54 (2.04-3.16). Adjusted odds ratio (confidence interval) for individuals with ongoing treatment ranged from 0.57 (0.52-0.63) for citalopram to 1.08 (0.85-1.36) for other SSRIs. Conclusions There was a strong association between newly initiated treatment with SSRIs or venlafaxine and hospitalization due to hyponatremia. The association for tricyclic antidepressants and mirtazapine was small to moderate. In contrast, there was no evidence that ongoing treatment with antidepressants increases the risk for hospitalization due to hyponatremia.

      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.07.025
       
  • Hospital-Associated Hypernatremia Spectrum and Clinical Outcomes in an
           Unselected Cohort
    • Authors: Evangelos Tsipotis; Lori Lyn Price; Bertrand L. Jaber; Nicolaos E. Madias
      Pages: 72 - 82.e1
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Evangelos Tsipotis, Lori Lyn Price, Bertrand L. Jaber, Nicolaos E. Madias
      Background Although hypernatremia is associated with adverse outcomes, most studies examined selected populations. Methods Discharge data of 19,072 unselected hospitalized adults were analyzed. The crude relationship between serum sodium [Na+] and mortality defined hypernatremia as serum [Na+] >142 mEq/L. Patients with community-acquired hypernatremia or hospital-acquired hypernatremia were compared with normonatremic patients (admission [Na+] 138-142 mEq/L) regarding in-hospital mortality, length of stay, and discharge disposition. Patients with community-acquired hypernatremia whose hypernatremia worsened during hospitalization were compared with those without aggravation. Results Community-acquired hypernatremia occurred in 21% of hospitalized patients and was associated with an adjusted odds ratio (OR) of 1.67 (95% confidence interval [CI], 1.38-2.01) for in-hospital mortality and 1.44 (95% CI, 1.32-1.56) for discharge to a short-/long-term care facility and an adjusted 10% (95% CI, 7-13) increase in length of stay. Hospital-acquired hypernatremia developed in 25.9% of hospitalized patients and was associated with an adjusted OR of 3.17 (95% CI, 2.45-4.09) for in-hospital mortality and 1.45 (95% CI, 1.32-1.59) for discharge to a facility, and an adjusted 49% (95% CI, 44-53) increase in length of stay. Hospital-aggravated hypernatremia developed in 11.7% of patients with community-acquired hypernatremia and was associated with greater risk of in-hospital mortality (adjusted OR, 1.84; 95% CI, 1.32-2.56) and discharge to a facility (adjusted OR, 2.14; 95% CI, 1.71-2.69), and an adjusted 16% (95% CI, 7-27) increase in length of stay. Conclusions The hypernatremia spectrum in unselected hospitalized patients is independently associated with increased in-hospital mortality and heightened resource consumption.

      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.08.011
       
  • Celiac Disease and Increased Risk of Pneumococcal Infection: A Systematic
           Review and Meta-Analysis
    • Authors: Malorie Simons; Lori A.J. Scott-Sheldon; Yesenia Risech-Neyman; Steven F. Moss; Jonas F. Ludvigsson; Peter H.R. Green
      Pages: 83 - 89
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Malorie Simons, Lori A.J. Scott-Sheldon, Yesenia Risech-Neyman, Steven F. Moss, Jonas F. Ludvigsson, Peter H.R. Green
      Background Celiac disease has been associated with hyposplenism, and multiple case reports link celiac disease and pneumococcal infections; however, increased risk of pneumococcal infection in celiac disease has not been confirmed. The purpose of this study was to conduct a systematic review to determine the risk of pneumococcal infections in celiac disease. Methods Relevant studies were identified using electronic bibliographic searches of PubMed, OVID, Medline, and EMBASE (1980 to February 2017) and reviewing abstracts from major conferences in gastroenterology. Using number of events in celiac patients and referent patients, we calculated a summary relative risk of pneumococcal infections. All analyses were conducted in Comprehensive Meta-Analysis software using random-effects assumptions. Results Of a total of 156 articles, 3, representing 3 large databases (the Swedish National Inpatient Register; the Oxford Record Linkage Study; and the English National Hospital Episode Statistics) were included. Each compared patients with celiac disease and confirmed pneumococcal infection to a specific reference group: inpatients and/or the general population. Overall, the odds of pneumococcal infection were higher among hospitalized celiac patients compared with controls (odds ratio 1.66; 95% confidence interval 1.43-1.92). There was no evidence of heterogeneity (Q[1] = 1.17, P = .56, I 2 = 0%). Conclusions Celiac disease is associated with an increased risk of pneumococcal infection. Preventive pneumococcal vaccination should be considered for those with celiac disease, with special attention to those aged 15-64 years who have not received the scheduled pneumococcal vaccination series as a child.

      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.07.021
       
  • Antibody-Mediated Extreme Insulin Resistance: A Report of Three Cases
    • Authors: Han Na Kim; Betiel Fesseha; Laura Anzaldi; Allison Tsao; Panagis Galiatsatos; Aniket Sidhaye
      Pages: 102 - 106
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Han Na Kim, Betiel Fesseha, Laura Anzaldi, Allison Tsao, Panagis Galiatsatos, Aniket Sidhaye
      Background Type 2 diabetes mellitus is characterized by relative insulin deficiency and insulin resistance. Features suggesting severe insulin resistance include acanthosis nigricans, hyperandrogenism, weight loss, and recurrent hospital admissions for diabetic ketoacidosis. In rare circumstances, hyperglycemia persists despite administration of massive doses of insulin. In these cases, it is important to consider autoimmune etiologies for insulin resistance, such as type B insulin resistance and insulin antibody-mediated extreme insulin resistance, which carry high morbidity and mortality if untreated. Encouragingly, immunomodulatory regimens have recently been published that induce remission at high rates. Methods/Results We describe 3 cases of extreme insulin resistance mediated by anti-insulin receptor autoantibodies or insulin autoantibodies. All cases were effectively treated with an immunomodulatory regimen. Conclusion Although cases of extreme insulin resistance are rare, it is important to be aware of autoimmune causes, recognize suggestive signs and symptoms, and pursue appropriate diagnostic evaluation. Prompt treatment with immunomodulators is key to restoring euglycemia in patients with autoimmune etiologies of insulin resistance.

      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.08.004
       
  • X + Y Scheduling Models in Internal Medicine Residency Programs: A
           National Survey of Program Directors' Perspectives
    • Authors: Craig Noronha; Saima Chaudhry; Karen Chacko; Kelly McGarry; Anoop Agrawal; Gopal Yadavalli; Marc Shalaby
      Pages: 107 - 114
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Craig Noronha, Saima Chaudhry, Karen Chacko, Kelly McGarry, Anoop Agrawal, Gopal Yadavalli, Marc Shalaby


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.09.012
       
  • Limited Relationship of Voltage Criteria for Electrocardiogram Left
           Ventricular Hypertrophy to Cardiovascular Mortality
    • Authors: Le Dung Ha; Ayman Elbadawi; Victor F. Froelicher
      Pages: 101.e1 - 101.e8
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Le Dung Ha, Ayman Elbadawi, Victor F. Froelicher
      Background Numerous methods have been proposed for diagnosing left ventricular hypertrophy using the electrocardiogram. They have limited sensitivity for recognizing pathological hypertrophy, at least in part due to their inability to distinguish pathological from physiological hypertrophy. Our objective is to compare the major electrocardiogram–left ventricular hypertrophy criteria using cardiovascular mortality as a surrogate for pathological hypertrophy. Methods This study was a retrospective analysis of 16,253 veterans < 56 years of age seen at a large Veterans Affairs Medical Center from 1987 to 1999 and followed a median of 17.8 years for cardiovascular mortality. Receiver operating characteristics and Cox hazard survival techniques were applied. Results Of the 16,253 veterans included in our target population, the mean age was 43 years, 8.6% were female, 33.5% met criteria for electrocardiogram–left ventricular hypertrophy, and there were 744 cardiovascular deaths (annual cardiovascular mortality 0.25%). Receiver operating characteristic analysis demonstrated that the greatest area under the curve (AUC) for classification of cardiovascular death was obtained using the Romhilt-Estes score (0.63; 95% confidence interval, 0.61-0.65). Most of the voltage-only criteria had nondiagnostic area under the curves, with the Cornell being the best at 0.59 (95% confidence interval, 0.57-0.62). When the components of the Romhilt-Estes score were examined using step-wise Wald analysis, the voltage criteria dropped from the model. The Romhilt-Estes score ≥ 4, the Cornell, and the Peguero had the highest association with cardiovascular mortality (adjusted hazard ratios 2.2, 2.0, and 2.1, consecutively). Conclusion None of the electrocardiogram leads with voltage criteria exhibited sufficient classification power for clinical use.

      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.06.041
       
  • Temporal Trends in the Clinical Acuity of Patients with ST-Segment
           Elevation Myocardial Infarction
    • Authors: Udhay Krishnan; Josef A. Brejt; Joshua Schulman-Marcus; Rajesh V. Swaminathan; Dmitriy N. Feldman; Parag Goyal; S. Chiu Wong; Robert M. Minutello; Geoffrey Bergman; Harsimran Singh; Luke K. Kim
      Pages: 100.e9 - 100.e20
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Udhay Krishnan, Josef A. Brejt, Joshua Schulman-Marcus, Rajesh V. Swaminathan, Dmitriy N. Feldman, Parag Goyal, S. Chiu Wong, Robert M. Minutello, Geoffrey Bergman, Harsimran Singh, Luke K. Kim
      Background Despite advances in ST-segment elevation myocardial infarction (STEMI) systems of care over the last decade, studies have shown no improvement in risk-adjusted mortality. It has been hypothesized that the population presenting to the catheterization laboratory has become sicker over time, in ways not accurately captured by current mortality models. The objective of this study was to examine changes in the clinical characteristics and in-hospital case fatality rate of the STEMI population treated with early percutaneous coronary intervention (PCI). Methods We conducted a retrospective analysis of a nationwide inpatient database for the period 2004-2012. All patients with a diagnosis of STEMI who underwent PCI within 24 hours of admission were identified. The primary outcome was in-hospital mortality. Results From 2004 to 2012 there was a consistent increase in unadjusted in-hospital mortality (3.9% in 2004 and 4.7% in 2012, odds ratioyear 1.03; 95% confidence interval 1.01-1.04). During this time there was an increase in the proportion of patients with ≥3 Elixhauser comorbidities (14.8% vs 29.0%, P trend < .001). Intubation or cardiac arrest on presentation increased from 3.2% to 7.8% (P trend < .001) and had a strong, independent association with mortality. After multivariable adjustment using a model that incorporated the increasing trend in intubation/cardiac arrest, mortality decreased over time (odds ratioyear 0.95; 95% confidence interval 0.94-0.97). Conclusions During a period that corresponds to improvement in STEMI quality of care, risk-adjusted in-hospital mortality declined. An increase in comorbidities, and more importantly in the proportion of patients presenting with extreme-risk features, may explain the overall “null” effect regarding in-hospital mortality despite improvements in timely reperfusion.

      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.06.040
       
  • Subscription Information
    • Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1


      PubDate: 2017-12-11T13:45:10Z
       
  • Headache
    • Authors: Paul Rizzoli; William Mullally
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Paul Rizzoli, William J. Mullally
      Headache, an almost universal human experience, is one of the most common complaints encountered in medicine and neurology. Described and categorized since antiquity, with the first classification by Aretaeus of Cappadocia, other classifications followed. The evaluation of this condition may be straightforward or challenging, and, though often benign, headache may prove to be an ominous symptom. This review discusses the current diagnosis and classification of headache disorders and principles of management, with a focus on migraine, tension-type headache, trigeminal autonomic cephalgias, and various types of daily headache.

      PubDate: 2017-12-11T13:45:10Z
       
  • The Reply
    • Authors: Chirag Bavishi; Franz Messerli
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Chirag Bavishi, Franz H. Messerli


      PubDate: 2017-12-11T13:45:10Z
       
  • The Reply
    • Authors: Manish Shrestha; Mark Borgstrom Eugene Trowers
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Manish P. Shrestha, Mark Borgstrom, Eugene Trowers


      PubDate: 2017-12-11T13:45:10Z
       
  • Cardiac Tamponade: an Unusual Presentation of Systemic Lupus Erythematosus
    • Authors: Persio D. López; Rachna Valvani; Savi Mushiyev; Ferdinand Visco; Gerald Pekler
      Abstract: Publication date: Available online 8 December 2017
      Source:The American Journal of Medicine
      Author(s): Persio D. López, Rachna Valvani, Savi Mushiyev, Ferdinand Visco, Gerald Pekler


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.11.030
       
  • Sen. McCain and Our Shared Humanity
    • Authors: William G. Kaelin
      Abstract: Publication date: Available online 8 December 2017
      Source:The American Journal of Medicine
      Author(s): William G. Kaelin


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.11.028
       
  • Patent Foramen Ovale Closure for Secondary Prevention of Cryptogenic
           Stroke: Updated Meta-Analysis of Randomized Clinical Trials
    • Authors: Muthiah Vaduganathan; Arman Qamar; Ankur Gupta; Navkaranbir Bajaj; Harsh B. Golwala; Ambarish Pandey; Deepak L. Bhatt
      Abstract: Publication date: Available online 8 December 2017
      Source:The American Journal of Medicine
      Author(s): Muthiah Vaduganathan, Arman Qamar, Ankur Gupta, Navkaranbir Bajaj, Harsh B. Golwala, Ambarish Pandey, Deepak L. Bhatt
      Background Patent foramen ovale closure represents a potential secondary prevention strategy for cryptogenic stroke, but available trials have varied by size, device studied, and follow-up. Methods We conducted a systematic search of published randomized clinical trials (RCTs) evaluating patent foramen ovale closure vs. medical therapy in patients with recent stroke or transient ischemic attack using PubMED, EMBASE, and Cochrane through September 2017. Weighting was by random effects models. Results Of 480 studies screened, we included 5 RCTs in the meta-analysis in which 3,440 patients were randomized to patent foramen ovale closure (n=1,829) or medical therapy (n=1,611) and followed for average 2.0-5.9 years. Index stroke/transient ischemic attack occurred within 6-9 months of randomization. The primary endpoint was composite stroke/transient ischemic attack and death (in 3 trials) or stroke alone (in 2 trials). Patent foramen ovale closure reduced the primary endpoint (0.70 vs. 1.48 events per 100 patient-years; risk ratio 0.52 [0.29-0.91]; I2 = 55.0%) and stroke/transient ischemic attack (1.04 vs. 2.00 events per 100 patient-years; risk ratio 0.55 [0.37-0.82]; I2=42.2%) with modest heterogeneity compared with medical therapy. Procedural bleeding was not different between study arms (1.8% vs. 1.8%; risk ratio 0.94 [0.49-1.83]; I2 = 29.2%), but new-onset atrial fibrillation/flutter was increased with patent foramen ovale closure (6.6% vs. 0.7%; risk ratio 4.69 [2.17-10.12]; I2 = 29.3%). Conclusions In patients with recent cryptogenic stroke, patent foramen ovale closure reduces recurrent stroke/transient ischemic attack compared with medical therapy, but is associated with higher risk of new-onset atrial fibrillation/flutter.

      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.11.027
       
  • Colonic Anisakiasis
    • Authors: Hiroki Matsuura; Hideki Jinno
      Abstract: Publication date: Available online 8 December 2017
      Source:The American Journal of Medicine
      Author(s): Hiroki Matsuura, Hideki Jinno


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.11.029
       
 
 
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